Individual
CARLA JEAN FREELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4342 BOOTES RD, MIDDLESEX, NY 14507-9789
(607) 346-2691
Mailing address
4342 BOOTES RD, MIDDLESEX, NY 14507-9789
(607) 346-2691
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303648
NY
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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